{extend name="layout_modal" /}
{block name="content"}
<!-- Content Header (Page header) -->
<section class="content" style="padding-top:0px;">
<div class="row">
  <div class="box">
    <!-- /.box-header -->
    <!-- form start -->
    <form role="form" action="{:url('data_save')}">
      <div class="box-body">
        <div class="form-group">
          <label for="exampleInputEmail1">手机号</label>
          <input type="text" class="form-control" placeholder="手机号" name="phone" value="{$info.phone}">
        </div>
        <div class="form-group">
          <label for="exampleInputEmail1">密码</label>
          <input type="text" class="form-control" placeholder="密码" name="password">
        </div>
        <div class="form-group">
          <label for="exampleInputEmail1">确认密码</label>
          <input type="text" class="form-control" placeholder="确认密码" name="repassword">
        </div>
        <div class="form-group">
          <label for="exampleInputEmail1">验证码</label>
          <input type="text" class="form-control" placeholder="验证码" name="code">
        </div>
      </div>
      <!-- /.box-body -->
    </form>
  </div>
</div>
</section>
<!-- /.content -->
{/block}